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When the System Makes Us Each Other’s Villains: Therapist Pay, Group Practice Ownership, and the Fight We’re Having Downstream
When therapists and group practice owners argue about compensation, who is really responsible for the financial pressures shaping mental healthcare? From 50/50 pay splits and insurance reimbursement to corporate platforms and professional advocacy, this spooky-season reflection explores what happens when we become so focused on identifying the villain that we forget to trace where the…
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You Can Build the Hearth, But You Cannot Make People Gather Around It
You can build a private group practice around belonging, fairness, and community and still discover that you cannot make people gather around the hearth. A therapist and group practice owner reflects on reciprocity, therapist compensation, insurance reimbursement, workplace culture, and the peculiar loneliness of trying to build something humane inside systems that are not always…
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The Myth of the Scrooge McDuck Practice Owner: What Running a People-Driven Therapy Practice Actually Looks Like
Every year, therapy practice owners sit down with their numbers expecting clarity and often find something else entirely. Behind the spreadsheets and percentages, a different story begins to emerge. Most group practices are not vaults of hidden profit, but ecosystems built around people. This piece explores the financial reality of running a therapy practice, from…
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What Actually Sustains Group Practice Owners
Group practice ownership isn’t sustained by grit alone. It’s held together through relationships, regulation, and honesty. This piece looks at what allows practice owners to keep choosing this work without hardening or disappearing.
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What No One Tells You Before You Open a Group Practice
Opening a group practice is often sold as freedom. More space. More clinicians. More impact. What’s rarely named is the weight that comes with growth. When systems falter, visibility shifts, or people depend on you for stability, leadership becomes less about expansion and more about containment.

